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Purchase Order Occupational Therapist in Belgium Brussels –Free Word Template Download with AI

Ref: PO-BRU-2025-04782

Occupational Therapist Professional Services – Belgium Brussels

Date of Issue: 14 June 2025

Valid Until: 14 September 2025

Payment Terms: Net 30 days

Currency: EUR (€)

Service Location: Belgium Brussels

PO Status: Approved for Execution

Organization: Hôpital Universitaire Saint-Luc – Rehabilitation & Wellness Division
Address: 12 Avenue de la Toison d'Or, 1050 Belgium Brussels, Belgium
VAT Number: BE 0456.789.123
Contact Person: Dr. Marie Van den Berghe, Head of Rehabilitation Services
Email: [email protected]
Phone: +32 2 555 0142
Provider Name: Brussels Occupational Therapy Group BVBA
Lead Occupational Therapist: Ms. Sophie Janssens, MSc in Occupational Therapy, Licensed by the Belgian Federal Health Authority
Address: 45 Rue du Marché aux Herbes, 1000 Belgium Brussels, Belgium
VAT Number: BE 0789.456.321
Professional License: Belgian OT Registration No. OT-BE-2019-4471
Contact Person: Mr. Thomas Peeters, Business Development Manager
Email: [email protected]
Phone: +32 2 333 8871

This Purchase Order authorizes the procurement of specialized Occupational Therapist services to be delivered at the Hôpital Universitaire Saint-Luc facility located in Belgium Brussels. The Occupational Therapist shall provide comprehensive assessment, intervention planning, and hands-on rehabilitation sessions for patients recovering from neurological conditions, orthopedic injuries, and age-related functional decline. All services shall be rendered in accordance with the professional standards set by the Belgian Federal Health Authority and the European Union Directive on the Recognition of Professional Qualifications (2005/36/EC).

Item # Description of Service Quantity Unit Unit Price (EUR) Total (EUR)
01 Initial Occupational Therapist comprehensive patient assessment (per patient, up to 40 patients) 40 Session €120.00 €4,800.00
02 Individual Occupational Therapist intervention sessions – upper limb rehabilitation (per session, 45 min) 200 Session €85.00 €17,000.00
03 Group Occupational Therapist workshop – daily living skills training (per group of 8, 90 min) 60 Workshop €210.00 €12,600.00
04 Occupational Therapist home-visit assessment in the Belgium Brussels metropolitan area (per visit) 25 Visit €150.00 €3,750.00
05 Adaptive equipment consultation and prescription by the Occupational Therapist (per patient) 30 Consultation €95.00 €2,850.00
06 Monthly progress reporting and multidisciplinary team coordination by the Occupational Therapist 3 Month €1,200.00 €3,600.00
SUBTOTAL €44,600.00
VAT (21% – Belgium Brussels standard rate) €9,366.00
GRAND TOTAL €53,966.00
  1. Governing Law: This Purchase Order shall be governed by and construed in accordance with the laws of the Kingdom of Belgium. Any disputes arising from this Purchase Order shall be subject to the exclusive jurisdiction of the courts of Belgium Brussels.
  2. Service Delivery: The Occupational Therapist shall commence services no later than 1 July 2025 and shall complete all contracted sessions by 30 September 2025. All in-facility sessions shall take place at the Hôpital Universitaire Saint-Luc premises in Belgium Brussels.
  3. Professional Compliance: The Occupational Therapist must maintain a valid Belgian professional license throughout the duration of this Purchase Order and shall comply with all data protection obligations under the Belgian Data Protection Act and the EU General Data Protection Regulation (GDPR).
  4. Payment Schedule: Invoices shall be submitted monthly. Payment shall be made within 30 calendar days of receipt of a valid invoice bearing the Purchase Order reference number PO-BRU-2025-04782. Late payments shall accrue interest at the rate prescribed by Belgian law.
  5. Substitution: The Occupational Therapist named in this Purchase Order may not be substituted without prior written consent from the Purchasing Entity. Any replacement Occupational Therapist must hold equivalent Belgian professional qualifications.
  6. Termination: Either party may terminate this Purchase Order with 30 days' written notice. In the event of termination, the Purchasing Entity shall pay for all services rendered up to the effective date of termination.
  7. Confidentiality: All patient information accessed by the Occupational Therapist in the course of this Purchase Order shall be treated as strictly confidential and shall not be disclosed to any third party without explicit patient consent, in accordance with Belgian medical confidentiality law.
  8. Insurance: The Occupational Therapist and the Brussels Occupational Therapy Group BVBA shall maintain professional liability insurance with a minimum coverage of €1,000,000 per claim, valid throughout Belgium Brussels and the broader Belgian territory.
  9. Quality Assurance: The Occupational Therapist shall submit a written progress report to the Head of Rehabilitation Services at the end of each calendar month. A joint quality review meeting shall be held at the midpoint of the contract period.
  10. Force Majeure: Neither party shall be liable for failure to perform obligations under this Purchase Order if such failure results from circumstances beyond reasonable control, including but not limited to natural disasters, pandemics, or government-mandated closures in Belgium Brussels.

By signing below, both parties acknowledge and agree to all terms, conditions, and service specifications outlined in this Purchase Order for the engagement of the Occupational Therapist in Belgium Brussels. This document constitutes a binding agreement upon execution by both authorized representatives.

For the Purchasing Entity:

Dr. Marie Van den Berghe

Head of Rehabilitation Services

Hôpital Universitaire Saint-Luc

Belgium Brussels


Signature: ___________________________

Date: ___________________________

For the Supplier / Occupational Therapist:

Ms. Sophie Janssens, MSc OT

Lead Occupational Therapist

Brussels Occupational Therapy Group BVBA

Belgium Brussels


Signature: ___________________________

Date: ___________________________

This Purchase Order (Ref: PO-BRU-2025-04782) was issued by Hôpital Universitaire Saint-Luc, Belgium Brussels. For inquiries regarding this Purchase Order or the Occupational Therapist service engagement, please contact the Procurement Department at [email protected] or +32 2 555 0142. This document is valid only when bearing the original wet-ink signatures of both parties. Uncontrolled when printed.

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